Individual provider Active NPI

Debbie Marie Mathewson, LMSW

  • Counselor
  • Saginaw, MI
National Provider Identifier
1295975530
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
730210 Issued in MI
Practice address
355 N Center Rd
Saginaw, MI 48638-5849
Phone
(989) 401-8916
NPI assigned
Feb 26, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 730210 MI Primary

Addresses

Primary practice location

355 N Center Rd
Saginaw, MI 48638-5849

Mailing address

355 N Center Rd
Saginaw, MI 48638-5849
Phone (989) 401-8916

Other identifiers 1

IdentifierTypeStateIssuer
0963095OtherMIBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141006002385 MI Practitioner - Clinical Social Worker 6709006141 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

355 N Ctr Rd
Saginaw, MI 48638-5849
Phone (989) 401-8916

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
730210MIMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-City Treatment Center LLC CurrentSince Aug 28, 2019 Accepting new patients
Jose Mari G Jurado MD PC PastSince Aug 25, 2019 Accepting new patients

Locations

355 N Center Rd
Saginaw, MI 48638
Phone (989) 401-8916

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1235606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1295975530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 N CENTER RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486385849",
            "telephone_number": "989-401-8916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 N CENTER RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486385849",
            "telephone_number": "989-401-8916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEWSON",
        "first_name": "DEBBIE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-26",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "730210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0963095",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.